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- W2035305373 abstract "To highlight the use of a minimally invasive novel technique for treatment of a large, symptomatic portacaval shunt. To offer a less costly and time-consuming alternative to traditional surgery/intravascular coil embolization. An 8 year-old girl with a complex medical history including trisomy 21, multiple cardiac anomalies, and chronic anemia of mixed etiology, presented with gastrointestinal bleeding. Over the preceding year, she had become cyanotic and on physical examination, digital clubbing was noted. Laboratory evaluation revealed elevated serum ammonia levels. Abdominal ultrasound demonstrated a congenital portacaval shunt. Due to the large size of the shunt, traditional embolization agents such as coils could not safely be utilized. Although not generally used for this purpose, the decision was made to occlude the fistula with a 14-mm Amplatzer ASD occlusion [clamshell] device. The Amplatzer device was deployed at the inferior vena cava and portal vein communication without immediate complication. The patient’s post-operative course was uneventful and the patient was discharged on post-operative day #2. Follow-up visits demonstrated resolution of the clinical signs and symptoms and imaging demonstrated closure of the shunt. This experience highlights the use of a novel technique for treatment of a large, symptomatic portacaval shunt." @default.
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- W2035305373 date "2014-03-01" @default.
- W2035305373 modified "2023-10-18" @default.
- W2035305373 title "Treating complex vascular anomalies with novel techniques" @default.
- W2035305373 doi "https://doi.org/10.1016/j.jvir.2013.12.506" @default.
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